Angela M Clark in Belleville - Medical

Angela M Clark - NPI 1235195835

Angela M Clark is a Medical in Belleville, Wisconsin. Angela M Clark practices all healthcare services and medical treatments related to Medical. The NPI Number for Angela M Clark is 1235195835. The last update date is 2022-11-08.

Angela M Clark's current location address is 1121 Bellwest Blvd, Belleville, Wisconsin. You can contact this provider via phone number 6084243384. The mailing address for Angela M Clark is 1121 Bellwest Blvd, Belleville, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Angela M Clark
Address 1121 Bellwest Blvd, Belleville, Wisconsin
Phone Number 6084243384
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1235195835
Provider Enumeration Date 2006-04-22
Last Updated Date 2022-11-08

Provider Mailing Address Detail

Address 1121 Bellwest Blvd
City Belleville
State Wisconsin (WI)
Post Code 535089433
Phone Number 6084243384
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1497-23
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Angela M Clark

What is the unique 10-digit identification code assigned to Angela M Clark by the Centers for Medicare & Medicaid Services?

The Angela M Clark has been issued the NPI (National Provider Identifier) 1235195835, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Angela M Clark is physically located?

The Angela M Clark is situated at the following address: 1121 Bellwest Blvd, Belleville, WI 535089433.

What is Angela M Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Angela M Clark's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did Angela M Clark receive its 1235195835 assignment from the Centers for Medicare & Medicaid Services?

The Angela M Clark was assigned its 1235195835 on 2006-04-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Angela M Clark's details last updated?

The information pertaining to the Angela M Clark, including its address, specialty, and other details, was most recently updated on 2022-11-08.

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